Many people are familiar with the problem of varicose veins.In the advanced stage of the disease, they turn to surgery.There are several types of surgical intervention for varicose veins, each differs in its own characteristics.Patients should know about these nuances, possible consequences and the necessary rehabilitation.
Statistics show that every fifth person suffers from varicose veins.The consequences of such disease are extremely unpleasant, so it should be treated.The operation is a cardinal method, because patients are tormented by fears about their need.
If the patient accepts surgery, he receives certain advantages:
- The choice of methodology: there are several types of operations with such a disease that provides an individual approach to each patient;
- Get rid of the problem;
- indolate (all manipulations are carried out under anesthesia);
- After the rehabilitation period, it can return to a normal life, which used to be impossible due to leg problems;
- Modern methods are low -traumatic and provide a cosmetic effect.
An operation is always an intervention, so patients often torment doubts about their need.Such treatment really has disadvantages:
- the risk of being among the small percentage of people who did not help;
- the need for rehabilitation;
- possible consequences;
- the risk of relapse;
- Cost: with extensive injuries or the choice of a modern methodology with a cosmetic effect, you will have to separate from a certain amount of money.
The symptoms of varicose veins may indicate dangerous changes in the venous system, which can lead to serious complications to death.In this case, the operation is necessary.
For the elimination of veins with varicose veins, they turn to certain indications:
- acute thrombophlebitis;
- Pathological expansion of subcutaneous veins;
- Varicose expansion of the subcutaneous veins with greater fatigue of the legs, pasty (reference) or swelling;
- the growth of trophic changes in soft tissues with the inefficiency of conservative treatment;
- the appearance of trophic ulcers;
- Blood blood exit.
Surgical intervention implies the use of several medications (anesthesia, anesthesia, disinfection), so the patient should warn specialists about chronic or chronic diseases, an allergic reaction to any substance.It is important to inform the drugs that are currently taken.Even dietary vitamins and supplements are important.
If the skin in the surgery area is damaged, there are bruises, ulcers or abscesses, then preliminary treatment is necessary.A specialist names him.
Before the procedure itself, it is necessary to prepare the area that will be operated:
- wash;
- Remove the nail varnish;
- Brown hair on your feet, other forms of hair removal can be used;
- If there are general anesthesia, to do a cleaning enema the previous day.
After the operation to remove varicose veins on your legs, you will need rehabilitation, so you should prepare and wear comfortable clothes, shoes and essential items with you.
Operational elimination methods of varicose veins in the legs
Modern medicine offers many options for surgical treatment of varicose veins.Resort to the following options:
- phlebectomy;
- microflebectomy;
- bare;
- sclerotherapy;
- Laser coagulation.
Each methodology has its own characteristics.The procedure algorithm is also different.
This is the name of the operational elimination of the subcutaneous veins, which expand pathologically.After this operation, the blood flow is normalized and getting rid of the swollen veins provides a cosmetic effect.
Anesthesia for operation can be local or general.They select a form of anesthesia individually, focusing on the characteristics of the patient and the volume of the next manipulations.
Separately, a complex phlegotomy should be considered, joining several methods at the same time.Each stage of this intervention can be an independent operation:
- CROSSECTOMY.This term is called the process of dressing and splitting of the affected area.For large subcutaneous veins, the proximal crucetomy is performed, for small subcutaneous, distal.
- Bare.This manipulation is also known as safenectomy.During the procedure, the trunk of the affected vein is eliminated.
- Flood of perforating veins.It is supracatic or in phase.The first option means dissection of fascia and is considered less traumatic.
- Miniflebectomy.At this stage, the varicose nodes or individual tributary nodes are eliminated, which are affected by the varicose veins.For such intervention, small punctures are made.
How is phlebectomy surgery performed to eliminate varicose veins?The effect of the complete presence on the operation will provide this video:
This procedure is also called miniplebectomy.The procedure received its name due to the minimum intervention, all manipulations are made through small punctures.
After the perfect puncture, the affected container is extracted with a special hook.Then it crosses with clamps and eliminated.
After surgery, punctures are sealed with a bactericidal patch.Be sure to wear compression clothes: you select individually.
How simple and fast a microflebectomy is performed, you can see this video:
Such operation is soft, since small cuts are made for their purposes at the ends of the affected vein.The same day, the patient can go home.
Depending on the variety of the operation, the location of the cuts changes: one is always carried out in the area of the Popliteal pit and the other in the area of the groin or ankle.
Recently, another type of manipulation appeared: Crioestroping.During the operation, only an incision is made through which Criosond is introduced.Due to the low temperature effect, the vein freezes with the work part of the probe.This allows you to start and get it out.Due to the cooling of the tissues, the vessels are, therefore, after surgery, no bruises or bleeding.
Some experts do not consider that this technique is a surgical intervention, since it consists of injections.
This technique is absolutely painless.The patient does not need prolonged rehabilitation, and after manipulation, it is even necessary to walk.This intervention practically does not cause complications.
Laser technologies are gaining more and more popularity in medicine.To use the laser for varicose veins, you must first take certain tests.Laser coagulation is called endavozal operation.
Laser radiation provides prison, that is, the adhesion of the affected vessels.This occurs due to the heating of its internal walls.After this operation, the seams should not be done: the puncture site is closed with a bandage.
Do you want to make sure that the efficiency of the elimination of veins with a laser?Then watch this video:
The characteristics of the rehabilitation period depend on which method the operation for varicose veins was carried out.Small traumatic manipulations allow the patient to recover and start ordinary life much faster.
In any case, it is necessary to follow certain rules:
- Make dressings with an elastic bandage.This measure is necessary in the first days after the operation.Thanks to the elastic bandage, the position of the veins is fixed.
- Wear compression clothes.Using said golf or means must be round, the light.Such a measure is necessary to restore blood flow.The period during which this can is needed is determined individually.Usually, it does not take more than 2 months.
- Venotonics reception.Such medications have an angioprotective effect, that is, strengthen venous walls and restore their tone.
- Moderate physical activity.Great loads should be avoided, but muscles should be developed.To do this, it uses physiotherapy exercises: any exercise must be agreed with the doctor.
- More vitamin C. It is necessary to strengthen immunity and reduce swelling.Black currants, kiwi and citrus fruits should be included in power.
- The use of seafood.Oysters are not available for everyone, but everyone can enrich diet or algae.Such products are necessary to strengthen vascular walls and increase your tone.
- Turn on the products with Kumarin.These include garlic, onion, olive oil, lemon, cherry, cherries and red currants.Said food normalizes blood clotting, which is important to prevent blood clots.
- Plant fibers.They are found in lentils, oats, apples, celery and leafy vegetables.These products are necessary to normalize the gastrointestinal tract: violations in their work several times increase the risk of varicose veins.
- Honey with nuts, hazelnuts or chestnuts.This mixture increases the elasticity and elasticity of vascular walls.
- Observe the mode of alcohol consumption.In addition to simple water, it is worth consuming teas of newly squeezed herbs and juices.
- Alcohol rejection.
- Less salt.
- Refusion of sweets, cakes, carbonated drinks, fatty meat, smoked and spicy plates, fried foods.
It is important to remember that if problems with the veins, it is necessary to normalize and maintain its weight.This is especially important after the operation to reduce the risk of relapse.Proper nutrition should become a way of life.
- Relapse of the disease.It occurs due to a predisposition to varicose veins.Often, patients themselves cause such complication with their way of life.
- ScarsThis complication is inevitable after phlebectomy.It can be avoided if the operation is low traumatic, but sometimes, according to the indications, you can only carry out a cardinal intervention.
- Thromboembolism.
- Nerve damage.It can occur during operation.This complication is extremely rare.
- DyssesthesiaThis means a change in the perception of stimuli.For example, heat can be perceived by heat, and vice versa.
- Drilling of venous walls.
- Burn (with laser coagulation).
Modern medicine offers several methods of surgical intervention for varicose veins.Each technique has its advantages and disadvantages, but it is necessary to select an adequate option individually for each patient.A previous requirement for almost all operations to eliminate veins is compliance with the rehabilitation period rules.
What types of operations are carried out with varicose veins and how does the postoperative period pass?
Varicose veins (varicose veins) is a disease that affects blood vessels.It spreads more often among women.The causes of occurrence can be diverse.This is due to the obstruction of the veins, due to the poor blood flow.Varicosis is hereditary, but at the same time arises due to several factors, for example: sedentary work, overweight, pregnancy and others.When ships lose their old elasticity, they expand and form nodes.With age, varicose veins are increasingly, so you should communicate with specialists.Waiting that "it will happen" is not worth it.It won't happen!
Today, medicine is quite developed, so vascular surgeons perform operations for varicose veins of the lower extremities in several ways, depending on the gravity and stage of negligence of varicose veins.All this is resolved individually.In the exam, the doctor will report which method to carrying out an operation for varicose veins will be optimal and talk about their passage, and then the person decides himself.
Each operation method to eliminate varicose veins in the legs has its advantages and disadvantages.A traditional operation is a section of the skin along the painful vein.Mainly, the result will be one hundred percent, but the scars throughout the leg will remain.The minimally invasive modern operations are often carried out, with a minimum number of cuts.Here, there will hardly be scars, but consequences may occur in the postoperative period.
Methods and types of operations to eliminate varicose veins in the legs:
- FlabectomyThis is a traditional intervention method by expanding the veins.It is used for advanced stages of varicose veins, when the entire vein is affected, whose surface is removed.As a general rule, after such operation, the veins and the nodes no longer appear and do not disturb, but the scars remain.
- Laser coagulation.The surgeon adjusts the inner wall of the vein using special laser equipment, as a result of which the light is born in Vienna.
- MicrofleetomyThis is a partial method when the affected areas of the veins are eliminated through small slots.
- Bare.Vienna is completely eliminated, using a probe.It is introduced at the beginning of the vein and is shown at the end.Therefore, few incisions come out, and the vein results and is eliminated.The elimination is carried out more frequently to remove the vein of the inguinal fold to the knee hole, or from the knee hole to the ankle.
- With the advanced stage of varicose veins and pronounced thrombophlebitis
- If the varicose light has more than 1 cm in diameter
- With a greater volume of damaged veins
- In the presence of large nodes
When the varicose veins in the legs are not very launched, the operation to eliminate it is easier and without consequences, so it is important not to accumulate components for years, but to consult a doctor.
Indications and consequences after surgery for varicose veins
Surgical intervention for varicose veins is a sufficiently popular procedure, because it is rarely possible to overcome such disease without surgery.The negligible varicose veins definitely require surgery, and in the initial stages, the doctor advises the procedures and exercises to strengthen the veins.In any case, the doctor, in each individual case, will weigh the pros and cons, before performing surgery for varicose veins.
The main indications for surgery for varicose veins of the veins of the lower extremities:
- varicose veins, accompanied by greater fatigue and swelling of the legs;
- varicose veins, which have reached the stage of trophic ulcers;
- violation of blood exit (sometimes without the absence of varicose veins);
- Pathologically expanded subcutaneous veins;
- thrombophlebitis.
It is worth remembering that only a specialist will see the complete image, and only he can say if the operation of the varicose veins is for you!